Ortho Oracle - orthopaedic operative atlas

LC-DCP, 4.5 mm in Pure Titanium

– See:  Synthes Plates and Screws:3.5 MM DCP, LC-DCP   3.5 MM LCP    4.5 MM LCP RECONSTRUCTION PLATE      – Dynamic Compression Plates:     – Properties of Titanium; – Discussion:     – is used for same indications as DCP, but the improved design offers additional advantages;     – undercut plate holes: undercut at each … Read more

Latissimus Dorsi

– origin: broad aponeurosis that originates on the spinous processesof the lower 6 thoracic and all lumbar vertebrae;          posterior crest of ilium, posterior surface  of sacrum, lower 3 or 4 ribs, and an attachment of the tip of the scapula; – insertion: flat tendon that twists upon itself to insert into the intertubercular groove of … Read more

Lateral Retinacular Release

– See: Retinacular Release for TKR:  – Discussion:      – see lateral anatomy of the knee and blood supply to the knee;      – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, & joint capsule;           – a successful release should release the lateral … Read more

Jacobs Rods: Locking Hook Spinal Rods

– Discussion:     – locking hook spinal rod is constructed of extra hard, 316 L stainless;     – it is 5 x 7 mm in diameter and threaded at both ends for attachment hook, which are adjusted longitudinally using a pair of nuts;     – hooks are rotationally locked to the rod by … Read more

Internal Rotators of the Shoulder

– Discussion:     – major internal rotators are teres major, latissimus, pect major;     – latissimus dorsi & teres major insert along medial lip of bicipital groove & pectoralis major along lateral lip and also serve as internal rotators;     – these muscles comprise larger mass than those that externally rotate the humerus … Read more

Intercondylar fractures

– Discussion:     – condyles will frx apart w/ variable amount of displacement, & comminution; – Approach:     – use posterior approach w/ olecranon osteotomy;     – articular surface is restored using interfragmentary lag screw fixation;     – coronoid and olecranon fossa must not be violated with fixation, nor should width … Read more